HomeMy WebLinkAboutSump Pump Inspection~ 4F PRt p~
~L ~'
r~~ U ~
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: ~~~~~'~ /' 1 1" ~'~
Address: ~7~ ~ ~~'qC'~"~ ~~'"
Prior Lake, MN 5~ ~~ Phone`~`~-'~ '~~~Z'
Date~ ~j~'~.~Time~~'~~m./p.m.
First Inspection ~cond ~
Own: Q Rent: ~ Age of Home:
Residential: ~
Non-Residential: L7
A. BASEMENT Q Yes C~~C"o / SiJMP BASKET 'E~~~0 1 I~ 2~ 3 ~
WATER IN BASKET ~ Yes ~'No SiJMP P~~ " t0'"0 ~ 1 ~ 2 O 3.~
WATER IN BASEMENT (flow over floor) ~ Yes Ck'1Qo CISTERN ~ Yes ~
(If no pump, place sticker across edge of sump_ cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
Q Laundry tub L7 Sanitary sewer._. L7 Outside
O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system Q Response to inspection program ~ Other
~ Water in basement Q Previous syste ailed
~~~~
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
/
and why
Q Yes o DISCHARGE: Q Near ~ Away
Q Yes L~'1Vo WINDOW WELLS ~ Yes ~'No
~ Yes ~7~1~0
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front
NOTES: . .~,Gi~Gt~G...-•---~~AC L. -- -•-•-•-----
~ Spring Q Winter
~ Back ~I Side
SUMP PUMP SYSTEM: l~~ ,~~ ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~!~
Where is this location?
This area will need to be e clear w~r ~scharges to the stornri sewer system.
Inspector: " "'- Date: ~O~
Resident: .~ Date: 3- ~'
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG